2008 WCRS Youth Ragtime Piano Competition
APPLICATION FORM

Due October 1, 2008 PLEASE PRINT CLEARLY

Name ___________________________________________________   Age on 11/03/08 _______

Address _______________________________________________________________________

City _________________________________________   State _________   Zip Code _________

Phone ________________________   Email _________________________________________

Division:
          1 (8-10) ___      2A-Junior (11-14) ___      2B-Classic (11-14) ___      3 (15-18) ___

Teacher's Name _________________________________________________________________

Teacher's Address _______________________________________________________________

Composition & Composer _________________________________________________________

For 1 & 2A-Junior divisions, arrangement by ___________________________________________

Parent, please give us your permission to photograph your child and use his/her picture on our

Website by signing here: ______________________________________________   Thank you!

Applications will be processed in the order that they are received. Apply early. Return form with registration fee of $15 check or money order to: West Coast Ragtime Society, Youth Piano Competition, P.O. Box 13346, Sacramento, CA 95813-3346. Confirmation, performance time, directions to the site and other information will be sent to the participant and his/her teacher mid October. Phone 1-800-760-9297.